Provider Demographics
NPI:1760409445
Name:AUXIER, JOSEPH W (DO)
Entity Type:Individual
Prefix:
First Name:JOSEPH
Middle Name:W
Last Name:AUXIER
Suffix:
Gender:M
Credentials:DO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:825 S. 169TH ST.
Mailing Address - Street 2:3RD FLOOR - SOUTH
Mailing Address - City:OMAHA
Mailing Address - State:NE
Mailing Address - Zip Code:68118-8102
Mailing Address - Country:US
Mailing Address - Phone:402-354-4822
Mailing Address - Fax:402-559-4140
Practice Address - Street 1:2540 N HEALTHY WAY
Practice Address - Street 2:
Practice Address - City:FREMONT
Practice Address - State:NE
Practice Address - Zip Code:68025-2315
Practice Address - Country:US
Practice Address - Phone:402-941-7250
Practice Address - Fax:402-727-3636
Is Sole Proprietor?:No
Enumeration Date:2006-07-17
Last Update Date:2022-11-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NE362207RP1001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RP1001XAllopathic & Osteopathic PhysiciansInternal MedicinePulmonary Disease
Provider Identifiers
StateIdentifier IDID TypeIssuer
IA0586115Medicaid
P00158659OtherRAILROAD MEDICARE
NE03948OtherBCBS
NE470780857 23Medicaid
KS200270740AMedicaid
NE89-00032OtherUHC
NE89-00032OtherUHC
I11736Medicare UPIN